Claim total
$13,376.85
base $155.66 · payer covered $13,376.85
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-08
- Stop
- 2017-01-08
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
002d4429-df26-5797-125c-dc5b931c3f79